| NPI | 1255464459 |
|---|---|
| Doing Business As | SAM'S CLUB OPTICAL 30-6678 |
| Entity Type | Organization |
| Authorized Contact | MATT MCMULLIN Npi Associate 794-371-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-05-18 |